多发性肌炎肌组织中Th17 细胞的浸润

目的:探讨多发性肌炎(PM)患者肌肉炎性组织中是否存在Th17细胞及数量多少。方法:临床和病理诊断确诊的多发性肌炎患者16例;对照组来自非炎性肌病患者6例。应用免疫荧光组织化学方法检测Th17淋巴细胞的定位及数量。结果:与非肌炎患者比较,免疫荧光组织化学检测到肌炎患者肌肉组织中IL-17表达阳性,主要分布在细胞内,且细胞数量的多少与炎症的严重程度成正相关。结论:Th17细胞有可能参与了多发性肌炎的发病过程。     

Chemokine receptor CCR7 is expressed in muscle fibers in juvenile dermatomyositis

To better elucidate the pathogenesis of lymphocyte recruitment of memory CD4(+) T cells in inflammatory myopathies, we studied the expression of CCR5 and CCR7 on CD4 memory T cells in muscle tissue from 11 patients with juvenile dermatomyositis, six adult patients with polymyositis, two patients with Duchenne muscular dystrophy, and two patients with spinal muscular atrophy. A prevalent infiltration of CCR5(+) effector CD4 T memory cells is observed in inflammatory myopathies. Moreover, we found a strong expression of CCR7 in perifascicular atrophic and in degenerating/regenerating muscle fibers in juvenile dermatomyositis (JDM) but not in fibers from adult polymyositis and Duchenne muscular dystrophy. The selective expression of CCR7 in JDM may open new perspectives in the understanding of the pathogenesis of inflammatory myopathies, offering a new tool for the differential diagnosis of these disorders.     

多发性肌炎大鼠模型制作的对比

目的 为兔骨骼肌匀浆多点皮下注射制备多发性肌炎大鼠模型的方法探索最佳的实验对象和实验条件.方法 SD大鼠、Westar大鼠和Lewis大鼠根据品种、性别、免疫物剂量等因素分组建模,取股四头肌进行组织病理学检查,比较各组之间成模比例、死亡比例、肌肉病理评分等观察指标的差异.结果 ①三个大鼠品种中,Lewis大鼠模型成功率最高,且实验耐受性最好,相同免疫剂量组的死亡比例最低.②相同免疫剂量下雌性组的成模比例均高于雄性组,而肌肉病理评分在不同性别组之间差异不明显.③雌性Lewis大鼠中,注射兔骨骼肌匀浆蛋白剂量从8 mg/kg增加至10mg/kg时,成模比例及模型病理评分明显升高;但从10mg/kg增加至12 mg/kg时,成模比例及模型病理评分无明显变化,而大鼠死亡比例升高.④雌性Lewis成模大鼠中,免疫2周时即可见到骨骼肌纤维大小不一、横纹消失及核内移,免疫4～5周时可见骨骼肌纤维坏死、非坏死肌纤维及间质血管周围炎细胞浸润等典型病变,继续免疫至7周时骨骼肌病变未继续加重.结论 采用兔骨骼肌匀浆多点皮下注射方法制备多发性肌炎大鼠模型时,选择雌性Lewis大鼠作为实验对象,给予兔骨骼肌匀浆10mg/kg连续免疫5周可出现与人类多发性肌炎非常相似的骨骼肌病变,且成模比例高、死亡比例低,造模效果理想.